DR. Lacie Victoria Wallace, MD
NPI #1366018012 in Mt Pleasant, South Carolina
Provider Information
- NPI Number
- 1366018012
- Entity Type
- Individual
- Name
- DR. Lacie Victoria Wallace, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jun 2, 2021
- Last Updated
- Sep 11, 2024
Practice Location
- Address
- 1400 HOSPITAL DR
- City
- Mt Pleasant
- State
- South Carolina
- ZIP Code
- 29464-3255
- Phone
- (843) 884-1341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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